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左心室辅助装置(LVAD)产生的电磁干扰抑制植入式心脏复律除颤器(ICD)的起搏功能。

Electromagnetic Interference from Left Ventricular Assist Device (LVAD) Inhibiting the Pacing Function of an Implantable Cardioverter-Defibrillator (ICD) Device.

作者信息

Erqou Sebhat, Kormos Robert L, Wang Norman C, McNamara Dennis M, Bazaz Raveen

机构信息

Department of Medicine, Alpert Medical School of Brown University, Providence, RI, USA.

Department of Medicine, Providence VA Medical Center, Providence, RI, USA.

出版信息

Case Rep Cardiol. 2018 Oct 3;2018:6195045. doi: 10.1155/2018/6195045. eCollection 2018.

Abstract

There is an increasing prevalence of patients with concomitant implantable cardioverter-defibrillators (ICDs) and left ventricular devices (LVADs). The potential for negative interactions between these continually evolving technologies is a valid concern. Previously reported interactions include inappropriate ICD therapy and interference with ICD telemetry function. Understanding the nature of such interactions and developing a comprehensive strategy to approach such situations are important. In this report, we describe a case of electromagnetic interference from LVAD inhibiting the pacing function of an ICD that was corrected by reprograming the device. We would encourage investigators to review patients with ICD and LVAD in their institutions in order to help assess the frequency and nature of these and other interactions.

摘要

植入式心脏复律除颤器(ICD)和左心室辅助装置(LVAD)同时使用的患者越来越多。这些不断发展的技术之间存在负面相互作用的可能性是一个合理的担忧。先前报道的相互作用包括不适当的ICD治疗和对ICD遥测功能的干扰。了解此类相互作用的性质并制定应对此类情况的综合策略非常重要。在本报告中,我们描述了一例LVAD电磁干扰抑制ICD起搏功能的病例,该病例通过重新编程设备得到纠正。我们鼓励研究人员对其机构中使用ICD和LVAD的患者进行复查,以帮助评估这些及其他相互作用的频率和性质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27ff/6192132/8e28143ee709/CRIC2018-6195045.001.jpg

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